Thrasher T N
Fed Proc. 1982 Jul;41(9):2528-32.
Water deprivation leads to depletion of both the intracellular and extracellular compartments. The resulting cellular dehydration and extracellular dehydration stimulate thirst and the secretion of vasopressin. The cellular stimulus is thought to arise from a change in volume and hence in the hydration status of specific osmoreceptor cells located in the anterior hypothalamus. Thus, reduction in cell volume because of either water deprivation or administration of hyperosmolar solutions of solutes that cannot penetrate cell membranes would stimulate thirst and vasopressin secretion, whereas an increase in cell volume caused by water intake would inhibit these responses. An alternative theory proposes that receptors in the region of the third cerebral ventricle that are sensitive to the concentration of sodium in cerebrospinal fluid are responsible for stimulating the responses to cellular dehydration. Both theories must account for the fundamental observation that NaCl, which does not penetrate cells, and urea, which does, are both excluded from the brain by the blood-brain barrier, and thus both solutes cause cerebral dehydration. However, NaCl stimulates drinking and vasopressin secretion but urea does not. The periventricular sodium receptor theory is not compatible with this observation. An osmoreceptor theory is compatible with the data if it is assumed that the receptors reside outside the blood-brain barrier, for example, in a circumventricular organ.
缺水会导致细胞内液和细胞外液均减少。由此产生的细胞脱水和细胞外脱水会刺激口渴感以及抗利尿激素的分泌。细胞刺激被认为源于位于下丘脑前部的特定渗透压感受器细胞的体积变化,进而源于其水合状态的变化。因此,由于缺水或给予不能穿透细胞膜的溶质的高渗溶液导致的细胞体积减小,会刺激口渴感和抗利尿激素分泌,而饮水导致的细胞体积增加则会抑制这些反应。另一种理论认为,第三脑室区域对脑脊液中钠浓度敏感的感受器负责刺激对细胞脱水的反应。两种理论都必须解释这一基本观察结果:不能穿透细胞的氯化钠和能穿透细胞的尿素都被血脑屏障排除在脑外,因此这两种溶质都会导致脑脱水。然而,氯化钠会刺激饮水和抗利尿激素分泌,而尿素则不会。脑室周围钠感受器理论与这一观察结果不相符。如果假设感受器位于血脑屏障之外,例如位于室周器官中,那么渗透压感受器理论与这些数据是相符的。